Basic Information
Provider Information
NPI: 1114906526
EntityType: 2
ReplacementNPI:  
OrganizationName: MARCUS HOOK FIRE COMPANY
LastName:  
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Credential:  
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Mailing Information
Address1: 71 OMEGA DR
Address2:  
City: NEWARK
State: DE
PostalCode: 197132063
CountryCode: US
TelephoneNumber: 3022833300
FaxNumber: 3022833321
Practice Location
Address1: 801 MARKET ST
Address2:  
City: MARCUS HOOK
State: PA
PostalCode: 190614725
CountryCode: US
TelephoneNumber: 3022833300
FaxNumber: 3022833321
Other Information
ProviderEnumerationDate: 01/13/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: LUCEY
AuthorizedOfficialFirstName: JENIFER
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AuthorizedOfficialTitleorPosition: BILLING REPRESENTATIVE
AuthorizedOfficialTelephone: 3022833300
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
341600000X PAY Transportation ServicesAmbulance 

No ID Information.


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